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Local to National Code Crosswalks

All documents are in pdf format PDF

HIPAA (Health Insurance Portability & Accountability Act) mandates that all states eliminate the use of their local procedure codes and local modifiers except as specifically provided within 42 CFR (Code of Federal Regulations).

RI local codes have been mapped to any existing or new National HCPCS, CPT, ADA or other National Code Sets. There are some local codes that will remain due to the code being non-medical or no appropriate national code crosswalk.

Adult Day Care  Assisted Living 
Case Management  CEDARR Direct Services (HBTS,
Kids Connect & PASS)
CEDARR Services  Community Mental Health Centers 
Dental  Drug Court 
Durable Medical Equipment (DME)  Early Intervention 
Emergency Response  Federally Quallified Health Center (FQHC) 
Group Behavioral Health Services  Hippotherapy 
Home Health  Hospice 
Indian Health Center  Lead Center 
Licensed Therapist  Local Education Agency (LEA) 
Meals on Wheels  Orthodontics 
Personal Care/Homemaker Services  Physician 
Severely Disabled Children
Homemaker Services
Substance Abuse




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